Organization
ORTHODONTIC ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. STORIE D.M.D., M.S. (CHIEF MANAGER)
(423) 282-2333
Entity
Organization
Contact information
Practice address
801 SUNSET DR BLDG E # 5, JOHNSON CITY, TN 37604-3033
(423) 282-2333
(423) 282-9337
Mailing address
801 SUNSET DR BLDG E # 5, JOHNSON CITY, TN 37604-3033
(423) 282-2333
(423) 282-9337
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6930
TN
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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